**Core Concept:**
The question is discussing a sexually transmitted infection (STI) in a sexually active male patient presenting with urethral discharge after unprotected sex with a prostitute. Gram staining is a common method used to differentiate between Gram-positive and Gram-negative bacteria, which can help identify the causative organism.
**Why the Correct Answer is Right:**
In this scenario, the patient is sexually active and has engaged in unprotected sex with a sex worker, increasing the likelihood of contracting a sexually transmitted infection. The correct answer is **Diphtheroid Bacteria** (Diphtheroids are a group of Gram-positive, non-spore-forming, and non-motile rods.) because these bacteria are commonly found in the genital tract and can cause urethritis in sexually active patients.
**Why Each Wrong Option is Incorrect:**
A) **Staphylococcus aureus:** Staphylococci are typically found in the nose and skin, not in the genital tract.
B) **Neisseria gonorrhoeae:** Gonorrhea is a sexually transmitted infection caused by Neisseria gonorrhoeae, which is Gram-negative, and therefore cannot be the correct answer.
C) **Candida Albicans:** Candida infections are typically characterized by vaginal discharge or thrush in oral, genital, or digestive tracts, not urethritis.
**Clinical Pearl:**
1. STIs are a common concern in patients with unprotected sex, especially with commercial sex workers.
2. Gram staining is a useful tool to differentiate between Gram-positive and Gram-negative bacteria and can help narrow down the potential causative organism.
3. Diphtheroids are common inhabitants of the genital tract and can cause urethritis in sexually active patients, making them a likely cause in this scenario.
Free Medical MCQs · NEET PG · USMLE · AIIMS
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